缺血诱导的细胞去极化:超极化激活的阳离子通道HCN2是否影响小鼠脑卒中后的预后?

Petra Ehling, Eva Göb, Stefan Bittner, Thomas Budde, Andreas Ludwig, Christoph Kleinschnitz, Sven G Meuth
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引用次数: 9

摘要

背景:已知脑缺血包括神经元细胞死亡和持续的神经功能缺损。缺氧和葡萄糖被认为是缺血性神经变性的关键介质,但确切的机制尚不清楚。在先前的研究中,两种不同的双孔结构域钾(K2P)通道(TASK1, TREK1)的表达被证明可以改善脑缺血引起的神经元损伤。在神经元中,携带超极化K+泄漏电流的TASK通道和携带去极化Ih的起搏器通道HCN2通过相互功能作用稳定膜电位。假设TASK和HCN2通道之间的离子相互作用增强了神经元对伴随细胞外pH变化的损伤的抵抗力。方法:在C57Bl/6(野生型,WT)、hcn2+/+和hcn2-/-小鼠中建立脑缺血(短暂性大脑中动脉闭塞(tMCAO))的体内模型,描述hcn2对脑卒中形成的功能影响。随后的分析包括行为测试和hcn2基因表达分析。结果:tMCAO诱导WT小鼠60 min后,于再灌注后6、12、24 h采集组织样本。在梗死的新皮层中,hcn2表达分析显示,hcn2表达在再灌注后6小时达到峰值,随着再灌注时间的延长,hcn2表达水平有降低的趋势。Hcn2基因表达水平在梗死后6 h和12 h无明显变化,仅在再灌注后24 h, Hcn2表达水平显著降低~55%。然而,在hcn2-/-和hcn2+/+窝鼠中,30分钟的tMCAO诱导的梗死体积相似。术后第1天进行整体神经功能(Bederson评分)和运动功能/协调(握力测试)的行为测试。同样,我们发现两组之间没有差异。结论:在这里,我们假设HCN2的缺失会影响脑卒中诱导的组织损伤过程中神经元的存活,HCN2是TASK通道的一个重要功能对抗者。然而,结合先前对TASK3的研究,这些结果表明,TASK3和HCN2由于其ph依赖性而被认为具有神经保护作用,但在tMCAO模型中,它们并不影响脑卒中期间的缺血性神经变性。
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Ischemia-induced cell depolarization: does the hyperpolarization-activated cation channel HCN2 affect the outcome after stroke in mice?

Background: Brain ischemia is known to include neuronal cell death and persisting neurological deficits. A lack of oxygen and glucose are considered to be key mediators of ischemic neurodegeneration while the exact mechanisms are yet unclear. In former studies the expression of two different two-pore domain potassium (K2P) channels (TASK1, TREK1) were shown to ameliorate neuronal damage due to cerebral ischemia. In neurons, TASK channels carrying hyperpolarizing K+ leak currents, and the pacemaker channel HCN2, carrying depolarizing Ih, stabilize the membrane potential by a mutual functional interaction. It is assumed that this ionic interplay between TASK and HCN2 channels enhances the resistance of neurons to insults accompanied by extracellular pH shifts.

Methods: In C57Bl/6 (wildtype, WT), hcn2+/+ and hcn2-/- mice we used an in vivo model of cerebral ischemia (transient middle cerebral artery occlusion (tMCAO)) to depict a functional impact of HCN2 in stroke formation. Subsequent analyses comprise behavioural tests and hcn2 gene expression assays.

Results: After 60 min of tMCAO induction in WT mice, we collected tissue samples at 6, 12, and 24 h after reperfusion. In the infarcted neocortex, hcn2 expression analyses revealed a nominal peak of hcn2 expression 6 h after reperfusion with a tendency towards lower expression levels with longer reperfusion times. Hcn2 gene expression levels in infarcted basal ganglia did not change after 6 h and 12 h. Only at 24 h after reperfusion, hcn2 expression significantly decreases by ~55%. However, 30 min of tMCAO in hcn2-/- as well as hcn2+/+ littermates induced similar infarct volumes. Behavioural tests for global neurological function (Bederson score) and motor function/coordination (grip test) were performed at day 1 after surgery. Again, we found no differences between the groups.

Conclusions: Here, we hypothesized that the absence of HCN2, an important functional counter player of TASK channels, affects neuronal survival during stroke-induced tissue damage. However, together with a former study on TASK3 these results implicate that both TASK3 and HCN2 which were supposed to be neuroprotective due to their pH-dependency, do not influence ischemic neurodegeneration during stroke in the tMCAO model.

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Hypoxia after stroke: a review of experimental and clinical evidence Therapeutic potential of the renin angiotensin system in ischaemic stroke Pathophysiology and management of reperfusion injury and hyperperfusion syndrome after carotid endarterectomy and carotid artery stenting. A pilot study evaluating the use of ABCD2 score in pre-hospital assessment of patients with suspected transient ischaemic attack: experience and lessons learned. Erratum to: Artery reopening is required for the neurorestorative effects of angiotensin modulation after experimental stroke.
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